LARRY VAIL MCDONALD (NPI# 1568482453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568482453 |
| Entity Type | Individual |
| Full Name | LARRY VAIL MCDONALD |
| Credential | MD |
| Practice Address |
3100 Ne 83rd St Suite 1001 Kansas City MO 64119-4400 |
| Mailing Address |
Po Box 8580 Prairie Village KS 66208-0580 |
| Practice Telephone | 8164680400 |
| Practice Fax Number | 8164686623 |
| Mailing Telephone | 9139018223 |
| Mailing Fax Number | 9139010093 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R6F27 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
04-16410 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1568482453 | 05 | |
| KS | 100152920C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200244 | Larry Mcdonald | Case Manager/Care Coordinator | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-05-16 |
| 1366545519 | Larry Dale Mcdonald | Dentist | 103 11th St, Ste 10, Chillicothe, MO 64601-1626 | 2006-09-06 |
| Street Address |
3100 NE 83RD ST SUITE 1001 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811429 | Elizabeth Ann Fossey | Psychologist | 3100 Ne 83rd St, Suite 2350, Kansas City, MO 64119-4400 | 2005-12-09 |
| 1942847108 | Nathan Joseph Docman | Social Worker | 3100 Ne 83rd St, Kansas City, MO 64119-4400 | 2019-12-06 |
| 1346895414 | Brittany Kathleen Hursh | Social Worker | 3100 Ne 83rd St, Kansas City, MO 64119-4400 | 2019-08-06 |
| 1194298083 | Kelsey Carton | Counselor | 3100 Ne 83rd St, Kansas City, MO 64119-4400 | 2019-01-03 |
| 1871020057 | Monique M Haas | Counselor | 3100 Ne 83rd St, Kansas City, MO 64119-4400 | 2017-05-18 |
| 1720512650 | Hoang Anh Dao | Counselor | 3100 Ne 83rd St, Kansas City, MO 64119-4400 | 2017-04-18 |
| 1518402965 | Swope Health Services | Clinic/Center | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-12-21 |
| 1003359977 | Tri-county Mental Health Services, Inc. | Community/Behavioral Health | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-11-28 |
| 1346696036 | Aaron Henderson | Counselor | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-05-11 |
| 1598110116 | Tri-county Mental Health Services, Inc. | Clinic/Center | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1871639799 | Kansas University Physicians Inc | Psychiatry & Neurology | 1088 Delp Pavilion, Mail Stop 4015 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1679622278 | Steven Sehr | Psychiatry & Neurology | 1021 W 69th St, Kansas City, MO 64113-1907 | 2007-01-10 |
| 1336222306 | Dawn Michelle Porter | Psychiatry & Neurology | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2006-10-23 |
| 1629510417 | Wexler Family Psychiatry | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2016-11-09 |
| 1922441450 | Trenton Michael Myers | Psychiatry & Neurology | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2013-04-15 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1104197136 | Ram Chettiar | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-01-23 |
| 1679879001 | Carla Louise Wakefield | Psychiatry & Neurology | 1301 N 47th St, Kansas City, KS 66102-1705 | 2011-02-02 |
| 1912141359 | Brian Terry Cuthbertson | Psychiatry & Neurology | 8800 Blue Ridge Blvd Ste 100, Kansas City, MO 64138-4061 | 2009-04-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.